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Outcome measures from international older adult care home intervention research: a scoping review

Kelly, Sarah, Cowan, A, Akdur, Gizdem, Irvine, Lisa, Peryer, Guy, Welsh, S, Rand, Stacey, Lang, I, Towers, Ann-Marie, Spilsbury, Karen, and others. (2023) Outcome measures from international older adult care home intervention research: a scoping review. Age and Ageing, 52 (5). pp. 1-10. ISSN 0002-0729. (doi:10.1093/ageing/afad069) (Access to this publication is currently restricted. You may be able to access a copy if URLs are provided) (KAR id:100541)

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Abstract

Background: Care homes are increasingly important settings for intervention research to enhance

evidence-informed care. For such research to demonstrate effectiveness, it is essential that

measures are appropriate for the population, setting and practice contexts.

Objective: To identify care home intervention studies and describe the resident outcome measures

used.

Design: Scoping review

Methods: We reviewed international care home research published from 2015-August 2022. We

searched MEDLINE, EMBASE, CINAHL, ASSIA. We included any intervention study conducted in a

care home, reporting resident outcomes. We extracted resident outcome measures, organised these

using the domains of an adapted framework and described their use.

Results: From 7,330 records screened, we included 396 datasets reported in 436 publications.

These included 12,167 care homes and 836,842 residents, with an average of 80 residents per

study. The studies evaluated 859 unique resident outcomes 2,030 times using 732 outcome

measures. Outcomes were evaluated between 1-112 times, with 75.1% of outcomes evaluated only

once. Outcome measures were used 1-120 times, with 68.4% of measures used only once. Only 14

measures were used ≥20 times. Functional status, mood & behaviour, and medications were the

commonest outcome domains assessed. More than half of outcomes were assessed using scales,

with a fifth using existing records or administrative data.

Conclusions: There is significant heterogeneity in the choice and assessment of outcomes for

intervention research in care homes There is an urgent need to develop a consensus on useful and

sensitive tools for care homes, working with residents, families and friends and staff.

Item Type: Article
DOI/Identification number: 10.1093/ageing/afad069
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RZ Other systems of medicine
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Personal Social Services Research Unit
Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Depositing User: Stacey Rand
Date Deposited: 20 Mar 2023 11:39 UTC
Last Modified: 30 May 2023 14:59 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/100541 (The current URI for this page, for reference purposes)
Akdur, Gizdem: https://orcid.org/0000-0001-7326-4750
Irvine, Lisa: https://orcid.org/0000-0003-1936-3584
Rand, Stacey: https://orcid.org/0000-0001-9071-2842
Towers, Ann-Marie: https://orcid.org/0000-0003-3597-1061
Killett, Anne: https://orcid.org/0000-0003-4080-8365
Hanratty, Barbara: https://orcid.org/0000-0002-3122-7190
Burton, Jennifer: https://orcid.org/0000-0002-4752-6988
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